Physical therapy is a branch of rehabilitative healthcare that involves medical professionals using specific equipment and exercise routines to treat physical functions. Its success rate is as high as 72 percent. Additionally, physical therapy can greatly alleviate chronic pain.
A physical therapist evaluates a patient’s condition and then provides treatment that can help restore or maintain function and mobility. Many times, following a surgical procedure, the body requires strengthening to allow the individual to return to normal physical activity.
Exercises can target weak or painful areas to improve day-to-day functioning and well-being. If your doctor prescribes physical therapy but your insurer denies the treatment you may feel frustrated and hopeless. Attorney Scott Glovsky routinely fights medical claim denials to help those who need it most.
What Common Ailments Receive Physical Therapy as Treatment?
There are many common issues that can benefit greatly from physical therapy including:
- Lymphedema occurs when excess fluids gather in the lymphatic system and cause swelling. Physical therapy can help reduce swelling and prevent future buildup of fluids.
- Sports injuries are commonly treated with physical therapy to allow quicker recovery times.
- Neck and back pain can be relieved through physical pain while also improving range of motion.
- Brittle bones (osteoporosis) can result in tenderness and swelling, impeding range of motion. Therapy can improve an individual’s ability to stretch, extend, and flex, while also relieving pain.
- Vertigo is dizziness and nausea with impaired balance. Many people have seen relief of vertigo symptoms from physical therapy.
- Chronic headaches can lead to head and neck injuries. Physical therapy can strengthen the muscles in the upper back and neck, reducing headaches and increasing neck mobility.
- Carpal tunnel syndrome is often treated with physical therapy, using stretches and exercises to lessen pain.
- Joint replacement surgeries can help a patient regain mobility while reducing pain.
- Twisted or sprained ankles can heal faster with physical therapy, helping the patient regain strength and mobility.
- Knee and hip injuries benefit from physical therapy to help heal ligaments and return mobility while diminishing pain.
- Autoimmune Disorders like Multiple Sclerosis and Rheumatoid Arthritis sometimes lead to declining mobility which can be helped with physical therapy.
What Types of Symptoms Can Physical Therapy Help?
When a patient begins physical therapy, the therapist conducts tests that measure flexibility, motion, performance, muscle and joint movement, posture evaluation, and range of motion.
Physical therapy can significantly improve balance and mobility while helping victims of sports injuries, strokes, traumas, or paralysis strengthen their core. Those with chronic medical issues, as well as those with chronic pain and age-related medical issues, can benefit from physical therapy. Physical therapy may focus on stretching and strengthening to improve mobility.
Why Might You Receive a Physical Therapy Claim Denial?
On average, a physical therapy session can range from $75-$120 in the U.S. or from $100 to $150 per session for specialized services or in-home therapy. Physical therapy from a facility associated with a hospital can be $750 or more a session. (This fee often includes a facility fee.) The goal of insurers is to pay out the least amount possible, so physical therapy may be denied simply because of the cost, regardless of the fact that your doctor believes the therapy will definitely help you recover more quickly while minimizing pain.
What Should You Do if You Receive a Physical Therapy Claim Denial?
Attorney Scott Glovsky and his legal team are ready to help you with your physical therapy claim denial. Scott understands how demoralizing it is to discover that the company you have paid to protect you has turned its back on you. It is important that you do not give up. There are actions you can take, with Scott Glovsky helping you throughout the process.
You can file an internal appeal, asking the insurance company to take a second look at the denial. There may be something very simple that you can do to turn the denial into an approval. If your insurer still denies the claim, you can file an external appeal where a neutral third party will make the decision regarding whether the denial will be reversed.
Which Insurers Are Most Likely to Deny Physical Therapy?
Although any insurer can potentially deny physical therapy, there are certain insurers in California that may be more likely to do so, including:
How the Law Offices of Scott Glovsky Can Help Those Who Receive a Physical Therapy Claim Denial
When you choose the Law Offices of Scott Glovsky, you will have an attorney who formerly worked in a large corporate law firm defending insurance companies in bad faith lawsuits. This means that Scott knows exactly how insurance companies think and operate. Our firm is well respected and has a solid reputation. Scott takes fewer cases so he can personally devote a tremendous level of time and care to each client. With a focused legal team behind him, Scott serves as the lead attorney on every case. Contact the Law Offices of Scott Glovsky today if you have received a physical therapy claim denial.